Moon Men DJs, LLCIrondale, AL 35210
(205) 222-1316
TALENT/MODEL RELEASE
For valuable consideration
received, the receipt and sufficiency of which are hereby acknowledged, I
__________________________________________________________ (name of
talent/model) hereby forever grant to __________________________________ (name
of photographer or company), his/her/its legal representatives, successors,
assigns, licensees, advertising agencies, and all persons or corporations
acting with his/her/its permission, the irrevocable and unrestricted right to
use, re-use, publish and re-publish, and copyright my performance, likeness,
picture, portrait, photograph, sound and/or voice recording, including the
negatives, transparencies, prints, film, video, tapes, digital or other
information pertaining to them in all forms of media now or hereafter known and
in all manner, including electronic media, in still, single, multiple, moving
or video format, in whole or part and/or composite representations, in
conjunction with my own or a fictitious name, including alterations,
modifications, derivations and composites thereof, throughout the world and
universe for advertising, promotion, trade, or any lawful purposes.
This right shall include, but
not be limited to, the right to combine my likeness with others and to alter my
likeness, by digital means or otherwise, for the purposes set forth herein.
I waive any right to inspect
or approve the finished product, including written copy that may be created in
connection therewith or the use to which it may be applied.
I acknowledge that the
photography session and/or film or video production was conducted in a proper
and professional manner, and this release was willingly signed at its
termination.
I affirm that I am over the
age of majority and that I am fully able to contract in my own name without
breach of any prior agreement or applicable law, including but not limited to
prior agreements with modeling or talent agencies or any other person, company
or entity.
I have read the above release
and agreement, prior to its execution; I fully understand the contents and
consequences thereof. This agreement shall be binding upon me and my heirs,
legal representatives and assigns.
Date:
________________________
_______________________________
(Signature
of Talent/Model)
_______________________________
(Talent/Model's
Address)
_______________________________